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Prochlorperazine, Oral

Montana rates for HCPCS Q0164

Prochlorperazine maleate, 5 mg, oral, FDA-approved prescription antiemetic, for use as a complete therapeutic substitute for an IV antiemetic at the time of chemotherapy treatment, not to exceed a 48-hour dosage regimen

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$10%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0$10%50%10th90th$0$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.34
Typical High
$0.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$0.33
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.34
Median
$0.44
Typical High
$0.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$0.56
Typical High
$0.58
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.05
Median
$0.56
Typical High
$0.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$0.43
Typical High
$0.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.44
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.34
Typical High
$0.34